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Walton Community Services Inc
Member Services Quality Check

Member Check on Their Services from WCS

Question Title

* 1. Are you satisfied with your services this month?

No

Can not remember

Yes

Don't Know

Other (please specify)

Question Title

* 2. Is your staff arriving to your home timely

Occassionally

Sometimes

Yes

No

Other (please specify)

Question Title

* 3. Do you have any concerns or complaints

Yes

No

A Few

Sometimes

Question Title

* 4. How often do you want WCS to call you to check on your services

Monthly

Quaterly

Weekly

Daily

None

Other (please specify)

Question Title

* 5. Is there anything we can do to improve your services at this time